City of Maple Grove

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Excavation Permit Utility Installation UID # 5540
App. Status: CanceledCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Kimberly Kay Ignatowicz
Company:
CenterPoint Energy
Company Phone:Local Phone:
(612) 321 - 5325
(612) 321 - 5325
Email Address:
kimberly.ignatowicz@centerpointenergy.com
Mailing Address:
700 W Linden Ave
Minneapolis MN 55440

CONTRACTOR

Contractor:
Name:
Kimberly Ignatowicz
Company:
Michels Corp
Company Phone:Local Phone:
(952) 469 - 8000
(952) 469 - 8000
Email Address:
kimberly.ignatowicz@centerpointenergy.com
Mailing Address:
22100 Pillsbury Ave
Lakeville MN 55044

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Bituminous
Boulevard
Work to start on or after: 08/01/2022
To be completed on or before: 12/31/2022
Applicant Project No.: 103772653

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
MGC# 22-67326
CONTACT KEVIN SCOTT 
612-321-5508
Main replacement
Attach detailed plan sheet:
Size and kind of pipe: 
4" PLASTIC
Depth from surface: 36"- 48"
Length of utility construction: 100
Method of installation:
Directional Bore
Development: Existing

LOCATION

Location/Address: COUNTY RD 101 & 75 PL N MAPLE GROVE MN
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TRAFFIC CONTROL

Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Invoice #5023 (07/26/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/26/2022 12:05 PM

Excavation permit fee per occurance

 $160.00 x 1 $160.00
Grand Total
Total $160.00
Payment 07/26/2022$160.00
Due$0.00
This Application was canceled, so you may not pay for this Invoice.

SPECIAL PROVISIONS

Any proposed work and/or traffic control placed within County right-of-way will need approval by Hennepin County.

Approvals

ApprovalSignature
ApplicantKimberly K. Ignatowicz - 07/26/2022 12:05 PM
7db8f561c435b8c668a9a5b737a5b7a5
931242259fc2adafb1b30c804e4941b2
#1 Right of Way Technician Approval 
#2 Traffic Operations Engineer Approval 

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